NPI | 1588671085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 44541) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2006013748) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 20639) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2011-02-24 |